Jessica Nicole Canonge, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP454517 Issued in PA

Practice address

910 Freeport Rd Ste 1
Pittsburgh, PA 15238-6178

Phone

(412) 366-6359

NPI assigned

Jul 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Giant Eagle Inc

  • Community/Retail Pharmacy
  • Pittsburgh, PA
  • NPI 1457366379
  NPD (past)
• Giant Eagle, Inc

  • Community/Retail Pharmacy
  • Punxsutawney, PA
  • NPI 1356207526
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1336767706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FREEPORT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152386118",
            "telephone_number": "412-781-1600",
            "fax_number": "412-781-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FREEPORT RD STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152386178",
            "telephone_number": "412-366-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANONGE",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Cannon, LCSW-C
• Glenn Martin Cannon Jr., MD
• Paul V. Cannon II, M.S.ED, NCC, LPC
• Rebecca Cannon, CRNA
• Carrie Lynn Canobbio
• Carol Jean Cant, RN
• Erin Cantafio, PA-C
• Kimberly Cantees
• Canterbury Place
• Carrie Leigh Canterbury, CRNP

• Pharmacist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.